Clinical gaps in scan-negative cauda equina syndrome

Takeaway

  • Scan-negative patients presenting with symptoms of cauda equina syndrome often lack clinical follow-up and experience high rates of pain, anxiety and depression.

Why this matters ?

  • Cauda equina syndrome (CES) is a neurological emergency warranting urgent lumbar MRI, however up to 86% of patients undergoing this procedure do not show structural pathologies.

  • Longer follow-up of scan-negative (SN) patients is needed to characterize their outcomes and inform clinical care pathways.